Provider Demographics
NPI:1942204433
Name:ISIOCHA, UCHE HENRY (MD)
Entity Type:Individual
Prefix:MR
First Name:UCHE
Middle Name:HENRY
Last Name:ISIOCHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 S. QUEEN STREET
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904
Mailing Address - Country:US
Mailing Address - Phone:302-257-5334
Mailing Address - Fax:302-724-5015
Practice Address - Street 1:640 S. QUEEN STREET
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904
Practice Address - Country:US
Practice Address - Phone:302-257-5334
Practice Address - Fax:302-724-5015
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-13
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10005027207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000789701Medicaid
DE896987H91Medicare ID - Type Unspecified
DEG50610Medicare UPIN